Value-based Care

Accounting for Observation Stays Shrunk Hospital Readmission Reductions

by Victoria Bailey

The decrease in readmission rates associated with the Hospital Readmissions Reduction Program (HRRP) was smaller after accounting for observation stays, indicating that the value-based program may be...

KLAS: Epic, Arcadia, Innovaccer Earn Top Marks for Value-Based Care

by Jacqueline LaPointe

According to a new report from KLAS, payers and providers are looking to expand their value-based care contracts across business lines, and most are looking to do so with a fewer number of strategic...

Key Plans for Advancing Accountable Care, Value-Based Payment

by Jacqueline LaPointe

Accountable care is getting a makeover. For over a decade, the healthcare system has been making the shift to accountable care, or “the coordinated provision of patient services by healthcare providers and facilities with the goals...

Bipartisan Letter Requests Extended Value-Based Payment Incentives

by Victoria Bailey

More than 40 House lawmakers have asked congressional leaders to support value-based payment incentives and extend the 5 percent bonus for Alternative Payment Model (APM) participation. In a...

Healthcare Orgs Urge Congress to Improve Value-Based Care Participation

by Victoria Bailey

Healthcare groups have called on Congress to extend incentive payments, revise threshold requirements, and expand regulatory waivers to address concerns about the Medicare Access and CHIP...

Who is Leading the Value-Based Care Transition in Primary Care?

by Jacqueline LaPointe

Most primary care physicians (PCPs) are engaging with value-based care, with 69 percent participating in some type of alternative payment model. But a new report from Chartis Group has identified the...

Staff, Technology Investments Help Practices Shift to Value-Based Care

by Victoria Bailey

Staffing and technology are the top investment areas for primary care practice leaders as they manage the challenges of shifting from fee-for-service (FFS) models to value-based care, according to a...

Are Readmission Rates The Best Measure of Hospital Quality?

by Jacqueline LaPointe

Readmission rates are one of the top measures of hospital quality, with most hospitals even putting their revenue on the line if they have excess hospital readmissions. However, a group of doctors...

ED-ICU Model Maintains ED Costs, Improves Value of Healthcare Delivery

by Victoria Bailey

Total cost per emergency department (ED) patient encounter remained unchanged at an academic medical center after it implemented an emergency department-based intensive care unit (ED-ICU), indicating...

NAACOS, AMA Ask Congress to Extend Advanced APM Incentive Payments

by Victoria Bailey

More than 800 accountable care organizations (ACOs) and healthcare associations, including the National Association of ACOs (NAACOs) and American Medical Association (AMA), have asked Congress to...

4 Key Areas of Value-Based Care Transformation

by Jacqueline LaPointe

Healthcare has a spending problem. For all the investments made in healthcare—$4.1 trillion to be exact—outcomes are not where they should be. In fact, the US has the lowest life expectancy compared to other high-income...

ACOs Improve Quality, Physician Burnout As New Opportunities Emerge

by Victoria Bailey

Accountable care organizations (ACOs) aim to improve healthcare quality for patients while reducing costs. Even as healthcare providers have operated in an unstable industry for the past few years, ACO programs have continued to achieve...

MGMA Calls for Prior Authorization Reform in Medicare Advantage

by Victoria Bailey

The Medical Group Management Association (MGMA) has urged CMS to implement policies that support prior authorization reform and value-based care contracts within the Medicare Advantage program. MGMA...

APMs Support Better Primary Care, But Value-Based Care Obstacles Remain

by Jacqueline LaPointe

Primary care practices in Medicare’s Comprehensive Primary Care (CPC) and CPC+ models made meaningful care delivery changes compared to non-participating practices, making the case for...

Will Medicare Physician Fee Schedule Changes Drive Value-Based Care?

by Victoria Bailey

The proposed changes in the Medicare Physician Fee Schedule (PFS) for calendar year (CY) 2023 may offer incentives for provider groups to consider alternative payment models. Still, the policies will likely require more apparent benefits...

Opportunities, Challenges of Value-Based Care Adoption

by Jacqueline LaPointe

Kenneth L. Davis, MD, believes that keeping patients healthy and ultimately out of the hospital is the key to making healthcare more affordable. That is why he is leading one of the nation’s top health systems down the path of...

Local Post-Acute Care Resources Tied to Hospital Readmissions, Pay

by Jacqueline LaPointe

Hospitals that had more local access to post-acute care services, such as primary care physicians and skilled nursing facility (SNF) beds, had lower thirty-day hospital readmission rates compared to...

CMS Analysis Reveals Implicit Bias in Healthcare, Value-Based Payment

by Jacqueline LaPointe

An internal analysis of three CMS Innovation Center models revealed instances of implicit bias in healthcare, which disproportionately impacted people of color and low-income individuals. CMS...

Home Healthcare Providers Share Thoughts on Value-Based Care

by Victoria Bailey

Although some home-based care professionals are still unsure about the impact value-based care has had on their organizations, over four in 10 home healthcare providers expect value-based contracts to...

Efficient Data Sharing Needed for Value-Based Care Transition

by Victoria Bailey

The COVID-19 pandemic changed how healthcare organizations approach care delivery, but the industry needs more efficient and transparent data sharing methods to accelerate provider transition to value-based care models. Providers and...